<!--
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<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title></title>
         <link rel="stylesheet" type="text/css" href="../style/styles.css"/> 
    </head>
    <body>
       <div id="whole">
            <br/>
          <?php include 'header.php'; ?>
          
          <?php include 'menu.php'; ?>
            
            
  <div id="content">
            
         <div id="form" style="margin: 300px 0 0 0;">		
			 
             
      <div class="collaterals" style="color: lightslategray; font-size: 12px; margin: 20px 0 0 0;" >
  
          <fieldset>
          <legend style="color: green; font-weight: 100;">Collaterals</legend>
        
          
          <label for="make">Make and Type</label><input type="text" name="make"/><br/>
          <label for="brand">Brand</label><input type="text" name="brand"/><br/>
          <label for="seriesnumber">Series No.</label><input type="text" name="seriesnumber"/><br/>
          
          <label for="docuref">Model No. </label><input type="text" name="docuref"/><br/>
          <label for="regcertno">Reg. Cert. No. </label><input type="text" name="regcertno"/><br/>
          <label for="motornnumber">Motor No.</label><input type="text" name="motornumber"/><br/>
          <label for="Chassis No.">Chassis No.</label><input type="text" name="borrowerfullname"/><br/>
          <label for="plateno">Plate No.</label><input type="text" name="plateno"/><br/>
          <label for="fmvalue">F.M. Value</label><input type="text" name="fmvalue"/><br/>
     
          <label for="gencon">General Condition</label>
          <select>
              <option>Please Select</option>
              <option>Excellent</option>
              <option>Good</option>
              <option>Fair</option>
              <option>Poor</option>
          
          </select>
           </fieldset>
      </div> 
        
                  <table border="1">

                <tr><td>TOTAL FAIR MARKET VALUE<label id="appraisalform_" style="width: 400px"></label></td><td><div class="inputContainer"><input type="text" name="totalfairmarketvalue" value="" id="totalfairmarketvalue" class="validate[required]"/></div></td></tr>
                <tr><td>TOTAL APPRAISED VALUE<label id="appraisalform_" style="width: 400px"></label></td><td><div class="inputContainer"><input type="text" name="totalappraisedvalue" value="" id="totalappraisedvalue" class="validate[required]"/></div></td></tr>
                <tr><td>LOANABLE AMOUNT<label id="appraisalform_" style="width: 400px"></label></td><td><div class="inputContainer"><input type="text" name="loanableamount" value="" id="loanableamount" class="validate[required]"/></div></td></tr>
                </table>
             
        </div>
      
   </div>
            
              <?php include 'footer.php'; ?>
            
        </div>
    </body>
</html>
